| NPI | 1902310196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEE BENENSON Owner 973-650-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 44SC05749600) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 44SC) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2018-03-12 |