| NPI | 1417626565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED WASHINGTON Therapist 908-344-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2021-09-12 |