| NPI | 1124781364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAHAYA A ANIMASHAUN Nurse Practioner 908-247-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-22 |