| NPI | 1043736515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R. JOHANNES Psychotherapist 862-226-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC05654600) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2021-12-08 |