| NPI | 1477142727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE KIM President 201-919-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-12-21 |