| NPI | 1891312096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIA ROMANOVSKY Owner 917-657-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-07-03 |