| NPI | 1780524488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA MARIE MOURAS CEO Owner 267-972-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |