| NPI | 1235585019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT FURLONG Counselor 732-397-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00394600) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-06-28 |