| NPI | 1346133493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A BOCCIA Co Owner 201-776-5698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |