| NPI | 1518536754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA A KROSNICK Owner 732-421-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2022-09-13 |