| NPI | 1174739858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON STEFANSKY Controller 732-730-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 910080105) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |