| NPI | 1104162080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIMA SHAFIQ Owner/Member 201-925-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA08327900) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |