| NPI | 1255172367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOREY MORRIS Director 732-330-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |