| NPI | 1881305415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIA PIERCE Owner 856-899-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2024-11-20 |