NPI | 1780365387 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIOLA SABA Delegated Official 856-264-4480 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-07-26 |
Last Update Date | 2024-10-24 |