| NPI | 1639692056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSAF AMOS Therapist 201-817-9962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 44SC05730200) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-08-11 |