| Organization Name: | IMMEDIATE CARE PSYCHIATRIC CENTER |
| NPI Number: | 1033498803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARILYN AYRES (BILLING MANAGER) |
| Mailing Address: | 28a Hill Road Parsippany |
| State: | NJ US |
| Postal Code: | 070541001 |
| Phone Number: | 9733359909 |
| Fax Number: | 9733359910 |
| NPI Enumeration Date: | 08/11/2011 |
| NPI Last Update Date: | 08/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |