| NPI | 1962071910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ PUTHIYATHU Owner 201-956-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-06-23 |