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 |