| NPI | 1538034566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA E WHITE Nurse Practitioner 347-542-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |