| NPI | 1790525632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE FRANTZCIA MERISTIL CEO 347-303-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-31 |