| NPI | 1285303792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNJEA LEE Pmhnp/Provider 347-834-1117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-01-07 |