| NPI | 1407159049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K WARE VP, Practice Administrator 908-454-7244 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |