| NPI | 1194541623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JEANNE BEARD Owner 856-298-7554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2025-05-05 |