| NPI | 1194539627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE ROBINSON Owner/ Nurse Practitioner 929-781-4218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-07-22 |