| NPI | 1477304426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HANSEN Owner/Therapist 732-889-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |