| NPI | 1164152948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FIELDS Office Manager 347-702-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-07-21 |