| NPI | 1528210648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT N KO Owner 201-927-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA06989400) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |