| NPI | 1497409049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA COMBS Office Administrator 973-223-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-10-21 |