| NPI | 1972092682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN JEAN BAPTISTE Owner 954-391-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |