| NPI | 1205511706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ISAAC Controller 732-927-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-11-03 |