| NPI | 1275397721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ESMERALDA MENA AKYATAN Manager 973-870-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-08-22 |