| NPI | 1750972196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONIE FORBES-SANDERSON Psychiatric Nurse Practitioners 857-615-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |