NPI | 1245802081 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL KIM Nurse Practitioner/Owner 347-855-4192 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-07-12 |