| NPI | 1518152453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA ROSHELLI Owner 609-312-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NN05675900) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |