| NPI | 1396628103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA FULLER Owner 347-424-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |