| NPI | 1336936996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENECHUKWU EZEANYA Owner/CEO 973-737-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |