| NPI | 1548800964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE HOLT CEO 908-251-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2021-03-22 |