| NPI | 1639371446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CUTHBERT EMILE ASHBY Program Manager 973-483-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2023-09-06 |