| NPI | 1376221440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME CHABUZ Owner/Psychiatric Nurse Practitione 631-338-7318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |