| NPI | 1124902705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODETTA R SUAREZ Advanced Practice Nurse 201-218-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-10-27 |