| NPI | 1134866494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON OPPONG Owner Of Entity 914-817-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |