| NPI | 1942604558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY TISCHLER Executive Director 917-476-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 727010105) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2025-10-21 |