| NPI | 1861921553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WEVER Owner 973-647-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |