| NPI | 1346755683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA WINTERS Director 862-200-7218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC05249500) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2021-03-20 |