| NPI | 1891530150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNETTE PHILLIPS Ap RN Bc, Pmhnp Bc 561-389-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |