NPI | 1699438325 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELICA EASON-WHITE Owner 973-558-0752 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-10-19 |
Last Update Date | 2023-03-21 |