| NPI | 1730604356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MICKEL Owner 732-239-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 26nj00069500) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |