| NPI | 1265250864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANN DAMIANI-GROCHOWSKI Owner, Pmhnp 917-576-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |