| NPI | 1275418915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM MICHAEL FAMIGIETTI Owner 732-687-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-09-11 |