| NPI | 1629350434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JONES Operations Manager 908-854-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2023-03-01 |