| NPI | 1053657635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE WEISBERG President 732-901-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2020-01-15 |