| NPI | 1205575388 |
|---|---|
| Doing Business As | EDEN HEALTH MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRACHA ORIANA FISHMAN Owner 917-686-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2023-06-15 |