NPI | 1194223271 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES IDRIS WEBB Co Owner 973-748-0847 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2018-01-24 |
Last Update Date | 2018-01-25 |