| NPI | 1295258424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY FARRACE Director 732-735-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 37FI00164500) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |