| NPI | 1114599305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN TUNIT Owner 732-724-1234 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-06-25 |