| NPI | 1720367832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA KEISE Owner 732-551-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25ma08706800) |
| Enumeration Date | 2011-08-06 |
| Last Update Date | 2011-08-06 |