NPI | 1578102984 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN LENARD Owner 732-310-8583 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-01-02 |