| NPI | 1184080434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARON STEPHENS Professional Counselor 201-675-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 37PC00531600) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-02-18 |