| NPI | 1013568575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVI MATHEW Clinical Director/ Therapist 201-953-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |