| NPI | 1497620413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA MYESHA SPRUILL Owner / Psychiatric Nurse Pr 929-559-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |