| NPI | 1366966574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE MCGOWAN Owner/Manager 732-859-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 37PC00538500) |
| Enumeration Date | 2017-07-29 |
| Last Update Date | 2017-07-29 |