| NPI | 1679445365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA ROSEY Pmhnp/Owner 917-588-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |