| NPI | 1073736609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANNE LARUE COWAN Administrative Director 201-670-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2009-05-18 |