| NPI | 1720502792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOLANLE POPOOLA Owner 732-895-4733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NJ 26NJ00494100) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |