| NPI | 1144723099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA SANTORA CIO 732-935-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |