| NPI | 1992226955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH KREIS-ORKOULAS Sole Proprietor 732-598-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9392692) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-08-11 |