NPI | 1447033907 |
---|---|
Other Name | MYSTEPRO |
Entity Type | Organization |
Authorized Contact | SIMONE CYISE PATTERSON Director Of Mystepro 201-780-6142 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-17 |