| 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 |