| NPI | 1801148036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD RATUSH Medical Director/Psychiatrist 917-512-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NJ 25MA07907500) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |