| NPI | 1447968417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK SURIANO Part Owner 201-248-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2024-04-03 |