| NPI | 1891779625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CARLOS Executive Director 201-569-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NJ 22295) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |