| NPI | 1346759891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROSS Primary Therapist / Owner 732-322-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |