| NPI | 1073070736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FORRESTER Manager 973-740-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-03-06 |