| NPI | 1417063629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J VERDON President 732-842-9468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NJ 24874) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |