NPI | 1760211767 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA A MERLIN Member Manager 716-253-1488 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-07-29 |