| NPI | 1811160252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YESUDAS RUBEN Physician 973-568-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 25ma07024100) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |