NPI | 1790572303 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE BEAUREGARD Owner 717-870-9303 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-04-24 |
Last Update Date | 2025-06-18 |