| NPI | 1891415048 |
|---|---|
| Doing Business As | SUCCOR PSYCHIATRY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LAKESHA JONES Nurse Practitioner 909-648-2036 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |