| NPI | 1437916434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB NWOSU Owner 908-456-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |