| NPI | 1245889583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHE CHAGANG Nurse Practioner 973-847-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-12-11 |