| NPI | 1396018495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH B KANTOR Owner 973-467-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ nj50467) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |