| NPI | 1437927100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN INAUEN Owner 908-910-8957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |