| NPI | 1447115506 |
|---|---|
| Doing Business As | BLUE FOREST WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD ALI Credentialing Specialist 201-855-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-12-22 |
| Last Update Date | 2025-12-22 |