| NPI | 1356287304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEHOSHUA WAXMAN Clinical Director 732-523-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-05-16 |