NPI | 1881472710 |
---|---|
Doing Business As | MELLEM CLINIC |
Entity Type | Organization |
Authorized Contact | INGA KORSGAARD Owner, Clinical Director 347-674-1136 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-09-21 |
Last Update Date | 2024-03-25 |