| NPI | 1346139482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIARA RODRIGUEZ Lead Front Desk Associate 732-532-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |