NPI | 1720799471 |
---|---|
Entity Type | Organization |
Authorized Contact | VONETTA NICOLE ERSKINE Owner/CEO 772-708-9728 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-12-13 |
Last Update Date | 2023-07-14 |