| NPI | 1831244110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE DEERFIELD Owner 856-770-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MB07419100) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-03-14 |