| NPI | 1255840682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A CARKEY Sole Member 315-446-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-01-14 |