| NPI | 1154844009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA O WINFUL Apn 973-464-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00654700) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |