| NPI | 1851047716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE BOYD Owner/Provider 772-519-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2023-12-14 |