| NPI | 1518507631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WILLIAMS Principal 908-444-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-02-07 |