| NPI | 1942574330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GRACE Psychologist 201-207-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 35s100487500) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |