| NPI | 1972853034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOHNSON Chief Executive Officer 973-677-7053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 2000036-04) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |