| NPI | 1740699230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES A PAINE Medical Director 201-487-4298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ ma065948) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ PC0792) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |