| NPI | 1972106292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLASUMBO JOSEPH OLADERU Chief Operating Officer 609-321-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |