| NPI | 1366779571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MINNICK BRENNAN Director 732-546-6216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NC10476600) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2013-07-31 |