| NPI | 1063175818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN OBI Authorized Official 973-342-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |