| NPI | 1447149778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANESHA BRUCE-OWENS President/CEO 201-388-1354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-08-08 |