| NPI | 1376161174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOO JAIN Executive Director 732-925-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |