Whalio Doctors

NPI 1114916954

Christian Health Care Center

Organisation Psychiatric Hospital Wyckoff, NJ

Practice location

Address
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone
(201) 848-5500
Fax
(201) 848-5493

Authorised official

Name
Kevin a Stagg
Title
Executive Vice President
Phone
(201) 848-5200

Registered specialties

Psychiatric Hospital Primary
Hospitals Taxonomy 283Q00000X Licence 22391 (NJ)

Registry record

NPI
1114916954
Entity type
Organization
NPI issued
14 Oct 2005
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.