| NPI | 1275083305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILAYO O. ILORI Owner 973-580-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2024-09-13 |