| NPI | 1457080178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHANASIOS G. PAPASTAMELOS Managing Member 609-469-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2024-11-04 |