| NPI | 1215646872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHREEN RAZA Sole Member 732-582-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-09-19 |