| NPI | 1124795885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ISAAC Controller 732-927-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-11-03 |