| NPI | 1467267781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLYNN LAWRENCE Owner And Provider 908-912-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |