| 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 |