| NPI | 1679080469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZBETH A. SMITH Owner 609-844-0452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 25NJ00323400) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |