| Organization Name: | SUSSEX COUNTY PSYCHIATRIC, INC |
| NPI Number: | 1962567925 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL LUTZ (OWNER, PRESIDENT) |
| Mailing Address: | 185 State Route 183 Stanhope |
| State: | NJ US |
| Postal Code: | 078741212 |
| Phone Number: | 9734261640 |
| Fax Number: | 9734261641 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |