| NPI | 1013767714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ALLISON SHARPE Owner 732-404-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |