| NPI | 1356180442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODETTE CHANTAL TIOMO Nurse Practitioner 732-771-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-07-19 |