| NPI | 1063994960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CRUZ Authorized Delegated Official 201-487-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-12-27 |