| NPI | 1194447144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ENWERE Advanced Nurse Practitioner 973-412-6427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |