| NPI | 1538825567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNI ANTONY Owner 908-420-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2021-11-14 |