NPI | 1104136795 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLAN J DAUL Executive Director 973-266-7998 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 101070704A) |
Enumeration Date | 2010-10-15 |
Last Update Date | 2010-10-15 |