| NPI | 1366771735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE G MORENO Owner 973-966-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA03554300) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |