| NPI | 1891687117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFISAYO A OWOLABI Managing Partner 908-292-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |