NPI | 1336371251 |
---|---|
Doing Business As | HEALING MINDS CENTER |
Entity Type | Organization |
Authorized Contact | TENNILLE BRAITHWAITE Office Manager 631-331-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F4001811) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2020-04-25 |