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 |