| NPI | 1356823876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE MAGSAYSAY Director Of Operations 908-526-8370 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2023-10-25 |