| NPI | 1881333763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA CONNOLLY SHEARER Owner 856-912-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-06-17 |