| NPI | 1043953060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETTE DESSOURCES CEO/Owner 347-991-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |