| NPI | 1053242099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRIS RAMALHO FABOS Apn/Owner 973-542-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-07-27 |