| NPI | 1730808940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLY M BOULAY President 954-815-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-09-06 |