| NPI | 1972155299 |
|---|---|
| Doing Business As | JILLIAN WASSON |
| Entity Type | Organization |
| Authorized Contact | JILLIAN W WASSON Owner 908-246-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-11-11 |