| NPI | 1558080531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUAN ZHANG Owner 347-570-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-08-24 |