| NPI | 1205647997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA ANNA JEAN BEGASSE DE DHAEM Medical Director 201-214-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |