| NPI | 1942040480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SAN GIACOMO CEO 973-903-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-06-04 |