| NPI | 1194492975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL D ROMAN Executive Director 973-858-8163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM2800X Clinic/Center Methadone | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2024-10-09 |