| NPI | 1104627892 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT ROLLINS Psychiatric Nurse Practitioner 347-325-4029 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2025-03-20 | 
| Last Update Date | 2025-03-20 |