| NPI | 1326873266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MAZHARUDDIN Member Manager 908-361-7814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |