| NPI | 1861015513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA PILAR ALFONSO Psychiatric Nurse Practitioner 305-882-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2024-06-05 |