| NPI | 1356222129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NELSON Am 201-304-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |