| NPI | 1700484961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIA BLANDON Owner 201-925-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2024-09-05 |