NPI | 1942032024 |
---|---|
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 | 2024-08-16 |