| NPI | 1447515457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN PARKS Executive Director 973-622-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 2000116) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |