| NPI | 1356103022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA J MCCALISTER Pmhnp Bc 201-472-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-02-13 |