| NPI | 1720894371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERILL L LYM Executive Director 201-788-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management |
| 2083B0002X Preventive Medicine Obesity Medicine | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-06-12 |