NPI | 1811453426 |
---|---|
Other Name | HQMP NMG POUGH PSYCH. |
Entity Type | Organization |
Authorized Contact | GLENN LOOMIS Credentialing 845-475-9661 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2019-02-19 |
Last Update Date | 2019-02-19 |