| NPI | 1386799591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN RHODE Business Manager 201-569-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |