| NPI | 1891025672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INUA A. MOMODU Medical Director 609-377-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NJ 25MA07531400) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00309400) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05007700) | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2009-12-30 |