| NPI | 1770295941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA MULLIGAN ATTARA Counselor, Supervisor, Educator 732-668-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-12-12 |