NPI | 1770056384 |
---|---|
Doing Business As | S&D BEHAVIORAL HEALTH LLC |
Entity Type | Organization |
Authorized Contact | SHANE LYNN Psychiatric Nurse Practitioner 727-641-4435 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-01-07 |
Last Update Date | 2021-12-03 |