| NPI | 1659178416 |
|---|---|
| Former Legal Business Name | GLEAM BEHAVIORAL HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | MARIA S MORA CEO 201-281-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-09-19 |