| NPI | 1720728561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEEN LAUREN GONDEN CEO 908-418-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 104100000X Social Worker |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X | |
| 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 | 2022-11-14 |