| NPI | 1568188704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROSADO Licensed Clinical Social Worker 201-839-7487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2024-01-23 |