| NPI | 1760018931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA CHIJIOKE Nurse Practitioner 973-856-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |