| NPI | 1508374133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DAWN AMODIO Owner 732-800-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 35S100555900) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-03-13 |