| NPI | 1104791847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE REGINA WARREN-SIMMONS Director Of Clinical Services 973-508-3161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |