| NPI | 1083080725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN FADEN Psychiatrist 732-330-0332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 25mb08863700) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-18 |