| NPI | 1295073500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETH ASTRID BURGOS-CORREDOR Clinician 973-754-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 44SL05087100) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |