| NPI | 1942032024 |
|---|---|
| Former Legal Business Name | PHREND BEHAVIORAL HEALTH OF NEW JERSEY |
| Entity Type | Organization |
| Authorized Contact | ATHANASIOS G. PAPASTAMELOS Medical Director 609-432-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2025-01-27 |