| NPI | 1952012791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK CORLEY CEO 201-657-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2023-06-21 |