| NPI | 1154835692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE VANORE CAO 732-458-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NJ 2000557) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-03-06 |