| NPI | 1114674157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTICE PAYNE-TYSON Clinical Director/ Co Founder 973-910-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |