| NPI | 1417664855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE SCHAUBLE A VP, Revenue Cycle 201-967-4032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |