| NPI | 1629346366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SHALTS President 973-778-7781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA07430700) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |