| NPI | 1982238184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASIA MILICEVIC Clinical Director 201-528-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-09-06 |