| NPI | 1255165072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OKORO Chief Executive Office 908-230-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |