| NPI | 1205284304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE EDITH GANTHIER Licensed Clinical Social Worker 908-447-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC00355600) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NJ 44SC00355600) |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2016-05-30 |