| NPI | 1851667737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE LOUIS Lpc 201-655-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 37PC00395400) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |