| NPI | 1558411868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL TIERNEY Therapist 973-694-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05301500) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |