NPI | 1851191969 |
---|---|
Entity Type | Organization |
Authorized Contact | CLARA AYOZIE-RICHARDSON Owner 347-984-0897 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-03-17 |
Last Update Date | 2025-03-17 |