| NPI | 1063020956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NATASHA DUROVICH Owner, Provider 929-276-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2024-04-17 |