NPI | 1528890654 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA L VLOSSAK Owner 908-692-1092 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-16 |
Last Update Date | 2024-08-16 |