| NPI | 1417378720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANE RAJACIC-POPPE Psychologist 201-833-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NJ 4992) |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2014-01-04 |