| NPI | 1396172714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE HICKS Chief Executive Officer 732-914-1688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC05008000) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |