| NPI | 1033850474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DZIKOWSKI Medical Director 201-600-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 171100000X Acupuncturist |
| 175F00000X Naturopath | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-06-03 |