| NPI | 1003441809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RICE DOBRINSKY Program Director 973-985-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |