| NPI | 1063790764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA ANDERSON Owner 201-444-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 4864) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |