| NPI | 1730943572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAJA SHANAY ROBINSON Licensed Professional Counselor 973-380-7715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |