| NPI | 1033895990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL PETROSYAN Manager Of Business Operations 908-588-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |