| NPI | 1144027459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRDA FLORVIL Owner 347-898-5748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-09-03 |