| NPI | 1144673609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMITA TALATI Owner 856-770-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA04739500) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |