| NPI | 1942143615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA WILLOUGHBY TAYLOR CEO 954-997-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-08-13 |