NPI | 1639960164 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA GILL Owner/Therapist 973-820-5174 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-14 |
Last Update Date | 2025-05-14 |