| NPI | 1902171481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN NESMITH Owner 856-625-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL me105940) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |