| NPI | 1881385045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE REGINA WARREN-SIMMONS CEO/Director/ Administrator 973-508-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 163WC1600X Registered Nurse Continuing Education/Staff Development | |
| 163WH0200X Registered Nurse Home Health | |
| 171000000X Military Health Care Provider | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-07-07 |