| NPI | 1750766747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA I TUTTLE Licensed Clinical Social Worker 201-906-8419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC01275200) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 44SC01275200) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |