| NPI | 1922135490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PARANA COO 732-920-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0805X |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-06-19 |