| NPI | 1265150056 |
|---|---|
| Other Name | CLAUDETTE L BLAKE PMHNP |
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE L BLAKE-TONGE Owner 973-704-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-10-02 |