| 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 |