| NPI | 1245922129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMA ANSARI Owner 973-304-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-09-17 |