| NPI | 1386289031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TAUBE Operational Director 201-433-3891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |