| NPI | 1942043542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA ROSE CAREW Owner 732-979-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-07-15 |