NPI | 1336759877 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA U. AKUNNA Practice Owner 908-356-3857 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-08-07 |
Last Update Date | 2025-10-01 |