| NPI | 1558845248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A. GARON Owner/Authorized Official 848-202-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2022-11-08 |