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 |