| NPI | 1962140319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANEIDE A. CHILLIS Doctor 973-930-6836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |