| NPI | 1376421875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SAFIN Owner 201-870-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 1041C0700X Social Worker, Clinical | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |