NPI | 1891524237 |
---|---|
Doing Business As | DOMENIC PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | MARYANNA VRETTOS DOMENIC Psychiatric Nurse Practitioner 908-315-9913 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-08-01 |
Last Update Date | 2024-10-17 |