| NPI | 1720705551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA TAWIAH Owner 201-247-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-04-10 |