| NPI | 1295076412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEEA LANGSAM Counselor 732-503-6976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 004386) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-12-30 |