| NPI | 1497418255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE SUTTON Owner 973-945-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0801X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |