| NPI | 1457623225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL MONTERO CEO 973-341-9869 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 2000493-11) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 2000493-11) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |