| NPI | 1326863960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA METELLUS Authorized Official/Owner 908-265-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |