| NPI | 1053468462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD C LUNDY VP 732-531-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 910140205) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |