| NPI | 1679242002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CONSTANCE FIELD Owner 631-996-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |