| NPI | 1164203881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADUTWUMWAA ADDO Owner 973-706-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-11-14 |