| NPI | 1417476946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUES HRYSHKO Executive Director 973-323-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 950030204) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-03-17 |