| NPI | 1508269911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KEYES Owner/Clinical Director 732-718-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44sc05408800) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |