NPI | 1467963322 |
---|---|
Entity Type | Organization |
Authorized Contact | MONICA LEWIS WILLIAMS Owner 718-753-8761 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
Enumeration Date | 2017-10-18 |
Last Update Date | 2017-10-18 |