| NPI | 1588365399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL MATOS CEO 908-759-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |