NPI | 1184216806 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARY INFANTOLINO Owner 908-912-4291 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-04 |
Last Update Date | 2023-10-15 |