| NPI | 1598395550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URMI A PARIKHOM Maneger 732-322-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |