NPI | 1033908603 |
---|---|
Entity Type | Organization |
Authorized Contact | MARYANN SLATER DERNLAN Owner 732-742-3383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-01 |
Last Update Date | 2025-05-01 |