| 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 |