| NPI | 1235740176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN EDELHAUSER Owner 732-966-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |