| NPI | 1992521496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR.OLUFUNMILAYO O. ILORI CEO 973-580-1497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-11-29 |