| NPI | 1871178764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLICENT L BROWN CEO/Director/Provider 347-938-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2024-05-23 |