| NPI | 1912428905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA BASKERVILLE-WILLIAMS Co Owner 973-801-1801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-10-23 |