| NPI | 1376225482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VODY ELAINE VINCENT Owner 908-487-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |