| NPI | 1780084251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTIN J. PRASAD Owner 848-210-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00461700) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-06-14 |