NPI | 1427320357 |
---|---|
Other Name | PROSPECT HOUSE |
Entity Type | Organization |
Authorized Contact | OLUFUNMILAYO O ILORI Advanced Practice Nurse 973-674-8067 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 26NJ00355200) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2023-03-07 |