| NPI | 1205640190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE NWOKIKE Pmhnp 732-250-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 103TC0700X Psychologist, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2026-03-19 |