| NPI | 1922638063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON REBNACK Therapist 908-329-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-05-24 |