| NPI | 1285049205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENOY GALVEZ Owner 856-359-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA09154500) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2014-09-17 |