| NPI | 1871967828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D KREISINGER Owner 201-939-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 44SC05633100) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |