| NPI | 1386183101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMINA/AZUKA IGWECHI/OFODIKE Owner 973-620-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 26NJ00508400) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 26NJ00477000) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |