| NPI | 1316384662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA HAGHOUR-VWICH Owner 862-221-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08679700) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |