| NPI | 1508596222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOSIN O OLUNUGA Apn 973-409-1406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |