| NPI | 1013595644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTAL RYBAK Iic/ Therapist 908-405-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |