| NPI | 1639596240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELIZABETH COHEN Psychiatric Nurse Practitioner 856-691-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NN06037300) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |