NPI | 1831947530 |
---|---|
Entity Type | Organization |
Authorized Contact | LENA CHAMBERLAIN Owner 201-665-3066 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-05-08 |