| NPI | 1578398707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GRACE Psychiatric Nurse Practitioner 732-614-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |