| NPI | 1376260323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REHAN MALIK Physician 862-249-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |