NPI | 1053902569 |
---|---|
Doing Business As | DIVINE MENTAL HEALTH TREATMENT |
Entity Type | Organization |
Authorized Contact | DEBRA MAYERS Psychiatric Nurse Practitioner 845-238-8853 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-01-27 |
Last Update Date | 2022-03-25 |