| NPI | 1821494089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON SLACK Sole Proprietor 305-336-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9292051) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2024-08-19 |