| NPI | 1891488094 |
|---|---|
| Doing Business As | MARCELLUS WELLNESS AND ADDICTION SERVICES |
| Entity Type | Organization |
| Authorized Contact | ERICA MACKENZIE Office Manager 917-916-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |