| NPI | 1952014375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE CEO 347-456-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-11-28 |