| NPI | 1184440216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE IRONNAH Authorized Official 973-609-7069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-22 |
| Last Update Date | 2024-11-22 |