| NPI | 1508676305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZEEZ A AROWOLO Manager 732-731-9617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 251E00000X Home Health |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |