| NPI | 1508272204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RICHARDS Owner 201-224-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA08915700) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NJ 25MA08915700) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |