| 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 (Licence: NJ 303042304) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2024-02-06 |