NPI | 1154929123 |
---|---|
Entity Type | Organization |
Authorized Contact | LATOYA GAINES Clinical Psychologist, Owner 201-486-4518 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-13 |