| NPI | 1366184830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS POLSTER CFO 908-642-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-05-02 |