| NPI | 1629834338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHIDAH HANSEN Owner/Practitioner 732-908-2871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |