| NPI | 1902508385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSAT FUNMILOLA ODUBIYI CEO 609-471-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-09-21 |