| NPI | 1124265715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN REITZ Executive Director 201-317-6932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2009-01-19 |