| NPI | 1790515674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA SAMUELS Rcm Manager 908-902-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |