| NPI | 1912683483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN B COX Managing Director 201-655-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |