| NPI | 1285217604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIESHAU MIDDLEBROOKS Nurse Practitioner/Owner 609-491-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2022-06-07 |