| NPI | 1205521093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JACKWICZ Psychiatric Nurse Practitioner 973-978-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-08-30 |