| NPI | 1497253553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN WAGNER Chief Information Officer 732-935-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 202010504) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2026-05-05 |