| NPI | 1225726565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER O'SCANLON Owner 732-795-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |