| NPI | 1841847241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMELDA FRI NJEI Administrator 410-572-4738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-08-27 |