NPI | 1811416019 |
---|---|
Entity Type | Organization |
Authorized Contact | ELENA HAMMER Billing Manager 732-389-0697 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2017-09-19 |
Last Update Date | 2023-03-15 |