| NPI | 1184217580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ODEY OGON Chief Executive Officer 609-227-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |