| NPI | 1215174107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS LANZA CFO 973-414-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 10704) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2016-06-08 |