| NPI | 1679193346 |
|---|---|
| Other Name | MELISSA A FUKUNAGA SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | MELISSA A FUKUNAGA Owner 718-578-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |