| NPI | 1205261765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMTIAZ RASUL Owner 973-901-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME112178) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2014-11-07 |