NPI | 1558101485 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA L LEDAIN Owner/Member 845-648-9120 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |