| NPI | 1306545702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK PLUT Owner 908-310-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-06-15 |