| NPI | 1285864850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERLIN CASADO Clinician 973-625-7029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 37LC00118700) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 44SL05263400) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |