| NPI | 1568058063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA TAYLOR Owner 732-567-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-12-06 |