NPI | 1083218994 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WHITE Owner 908-208-0007 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
Enumeration Date | 2020-11-23 |
Last Update Date | 2020-11-23 |