NPI | 1932799962 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIANA VILLALOBOS Owner/Clinician 973-477-1672 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-01-23 |
Last Update Date | 2021-01-23 |