| NPI | 1205548120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEVITT Advanced Practice Nurse 732-881-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |