| NPI | 1164240891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUGIATU BAHR Fnp And Pmhnp 646-981-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |