NPI | 1982445367 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY WALTER President/Ap RN 561-215-9959 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-06-01 |
Last Update Date | 2024-10-02 |