| NPI | 1881333094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLINE LOUIS Owner 954-604-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-07-20 |