| NPI | 1194351965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEL CARRINGTON Medical Director 347-709-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |