| NPI | 1467205104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL MPRAH (Pmhnp Bc) 347-303-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |