| NPI | 1487303053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI FORYANG MBEUFONJOH Pmhnp 908-477-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-09-13 |