| NPI | 1518773886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NABINTOU BAKAYOKO President 917-450-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-05-28 |