| NPI | 1750267688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE HARTS Np 323-676-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-09-02 |