| NPI | 1508357229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCCLENDON Owner And Provider 732-588-8740 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-01-02 |