| NPI | 1447033907 |
|---|---|
| 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 | 261QM0850X Clinic/Center Adult Mental Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |