Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 16 days before observation
Type 2 organization · NPI 1780502757
PSYCHORA BEHAVIORAL HEALTH PC
103TH0100X · NEWARK, NJ
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 103TH0100X | 103TH0100X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
No prior completed snapshot is available for a public timeline.