| NPI | 1477938108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONYA BALOGUN Executive Director/CEO 908-216-6764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NJ 28R102688300) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2024-11-11 |