| NPI | 1427282201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M LEVINE Therapist 201-259-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 37FL00160300) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NJ 37LC00057400) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 37PC00047500) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 44SC05174000) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |