NPI | 1295255149 |
---|---|
Entity Type | Organization |
Authorized Contact | MINI THOMAS Ccrp 201-956-9483 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
Enumeration Date | 2017-06-21 |
Last Update Date | 2019-03-18 |