| NPI | 1568242246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVELYN E THOMPSON Owner 646-399-7187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-10-14 |