| NPI | 1316729114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALSAMMA JOY Owner 201-334-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2024-10-01 |