| NPI | 1407201759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN M DIDOMENICO Acting Director 732-445-5384 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 35SI00364600) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2016-04-24 |