| NPI | 1548068984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS FORSTER Owner And Provider 862-254-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-04-28 |