| 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 |