| NPI | 1073360673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA CHAMBERLAIN Owner 201-665-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |