| NPI | 1790721108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N. DAVISON Chief Executive Officer 973-509-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 302090405) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NJ 302090405) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 302090405) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-01-14 |