| NPI | 1104637529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIA TITUS-THOMAS Owner 732-421-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-27 |