| NPI | 1235750654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP JOSEPH SEIBELL Owner/President 732-407-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |