| NPI | 1740804178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURELIE DORICENT Owner 754-252-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-02-27 |