| NPI | 1548649429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUIANA MESHELL DIXON Owner 201-852-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2026-10-01 |