| NPI | 1255985685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTA ELIZABETH FENNELL- POWELL Licensed Professional Counselor 973-951-8541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |