| NPI | 1700299807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC PEGGY JOSEPH Owner 954-767-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2025-11-16 |