| NPI | 1497409049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MARSH Office Administrator 862-232-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2022-02-11 |