| NPI | 1245766302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BURNETT Biller 856-278-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: NJ 25M09550500) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |