| NPI | 1598439051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEEN BOYD-MCKOY Nurse Practitioner 347-603-6022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |