| NPI | 1164753646 |
|---|---|
| Other Name | MCGBH - MAGNOLIA |
| Entity Type | Organization |
| Authorized Contact | JOHN W WESTERVELT Chief Financial Officer 973-596-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2025-07-02 |