| NPI | 1548633365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A BIZZARRO Psychotherapist 908-610-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: NJ 44SC05622300) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2025-01-07 |