| NPI | 1689244170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA SHEPPARD-THORNTON CEO/Pmhnp 718-715-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-09-20 |