| NPI | 1770386518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MOISE Owner Of Entity 754-364-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |