| NPI | 1215826797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI MENTOR Director 732-637-9473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |