| NPI | 1235516691 |
|---|---|
| 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) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-03-06 |