| NPI | 1104370915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWALE ADEFOWOJU Medical Director 908-693-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00196200) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |