| NPI | 1124499033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY TRELOAR Patient Account Manager 201-385-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 2000117) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |