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 |