NPI | 1407567464 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSARIA MATOS Owner 973-289-9473 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-12-12 |
Last Update Date | 2024-11-21 |