| NPI | 1639996697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A NWANGANGA-ANUSIEM Administrator 201-281-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-01-31 |