| NPI | 1720895311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISHEET PATEL Medical Director 855-294-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |