| NPI | 1841091212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COPE Medical Director 201-739-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0005X Psychiatry & Neurology Neurodevelopmental Disabilities |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |