| NPI | 1427706233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA OLANDA SPURLOCK Manager 856-404-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-04-04 |