| NPI | 1821816729 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | PERPETUA EKWEGHARIRI Pmhnp 973-489-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-11-08 |