| NPI | 1467280313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA M GIBBONS Owner/CEO 914-848-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |