| NPI | 1720240583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WHISONANT BROWN Manager 772-485-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP1104872) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL ARNP1104872) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2017-03-17 |