NPI | 1790129310 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE BORDEN CEO 973-839-2520 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NJ 303042304) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2025-04-21 |