| NPI | 1033498803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN AYRES Billing Manager 973-335-9909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |