NPI | 1720728561 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLEEN LAUREN GONDEN CEO 908-418-3234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 104100000X Social Worker |
2084P0800X Psychiatry & Neurology, Psychiatry | |
251J00000X Nursing Care | |
251S00000X | |
261Q00000X Clinic/Center | |
261QC1500X Clinic/Center, Community Health | |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-03-30 |
Last Update Date | 2024-10-07 |