| NPI | 1699297168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN L. KILCOYNE Owner 201-759-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00164500) |
| Enumeration Date | 2017-07-16 |
| Last Update Date | 2017-07-16 |