| NPI | 1447751284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCCLENDON Owner/Provider 732-588-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2024-01-02 |