| NPI | 1073326591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE GUTT Sole Owner 908-493-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-29 |