NPI | 1932394756 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE A DACRI President 386-951-2245 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9182239) |
Enumeration Date | 2007-09-14 |
Last Update Date | 2007-09-14 |