| NPI | 1659045243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DEAN Owner 201-304-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |