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 | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-03-19 |