| NPI | 1336800424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE A KENA Clinician 973-204-2811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-01 |
| Last Update Date | 2022-04-04 |