| NPI | 1083017891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL MORAN CEO 201-500-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2022-11-15 |