| NPI | 1740009943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAILA AHUVA MUELLER Managing Member 929-563-1542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |