| NPI | 1205025533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAUD PANAH Owner 609-340-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA07612200) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-12-03 |