| NPI | 1568203016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAISHALI DESAI Apn 973-809-1694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-08-29 |