| NPI | 1487055539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE KAUFFMANN Authorized Official 732-787-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC05489500) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |