NPI | 1962180737 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIANA SANDOVAL Owner And CEO 708-847-7495 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-07-10 |
Last Update Date | 2023-07-10 |