| NPI | 1912767989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA VALENTINA NUNEZ-CASTORO Clinician 201-726-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |