| NPI | 1902068950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA GOURDINE Clinical Director 201-224-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 26NJ00080100) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |