| NPI | 1124072632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVASA K RAO Director Of Icpc 973-335-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-05-12 |