| NPI | 1386519569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DISMUKES Physician 908-652-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-27 |