| NPI | 1346027547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARKHANDA FAROOQI Owner 201-744-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-04-23 |