| NPI | 1356661920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT YEUNG Sole Member 908-208-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 25MA08575400) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 25MA08575400) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |