Doctor Name: | MS. SUSAN JO GRAY |
NPI Number: | 1063873222 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00604400 |
Business Practice Address: | 252 Route 601 Belle Mead, NJ - 085023923 |
Business Phone Number: | 9082811000 |
Business Fax Number: | 9082811575 |
Mailing Address: | 252 Route 601, BELLE MEAD |
State: | NJ |
Postal Code: | 085023923 |
Phone Number: | 9082811000 |
Fax Number: | 9082811575 |
NPI Enumeration Date: | 03/16/2016 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 26NJ00604400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |