| NPI | 1508662479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE GOMES Authorized Official 201-306-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-03-13 |