| NPI | 1831887637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE V SHELDON Cep 973-685-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |