| NPI | 1528663945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LEVITT Director 347-707-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-07-12 |