| NPI | 1164205001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE TORGBOR Owner 646-683-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-09-27 |