NPI | 1831905637 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN WAYNE MAY CEO 407-408-5700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-12-06 |
Last Update Date | 2024-12-06 |