| NPI | 1033850474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DZIKOWSKI Medical Director 201-600-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2024-06-24 |