| NPI | 1427726652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL KPWE NJI Owner 240-413-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-12-27 |