NPI | 1326573619 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX SMUKLAVSKIY Executive Director / CEO 732-679-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 2000645) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |