| NPI | 1942719950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABINA BENEL Owner/Provider 980-859-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2021-03-08 |