| NPI | 1396238127 |
|---|---|
| Doing Business As | VALHALLA VITALITY |
| Entity Type | Organization |
| Authorized Contact | ERICA MALLOY President 516-266-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401461) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-02-22 |