| NPI | 1114548500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI P KANG Owner 732-266-4837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2023-11-27 |