| NPI | 1336579010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MARIE VICTOR Provider 973-744-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 44sc00148700) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |