| NPI | 1285266643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON HANNAH COO 973-506-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2021-01-02 |