| NPI | 1386156727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA DI FEDELE Owner 732-598-1365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC00083600) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |