| NPI | 1609552983 |
|---|---|
| Doing Business As | BALANCED MINDS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KRISTEN NICOLE RYAN Psychiatric Mental Health Np 631-317-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-08-10 |