| NPI | 1083041198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE HICKS Chief Executive Officer 732-914-1688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 44SC05386000) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |