| NPI | 1942785324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEHINTOLA OGUNSAKIN Chief Medical Officer 732-939-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |