| NPI | 1538659511 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CORY CUOMO Vice President 732-290-9040  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1000054504)  | 
| Enumeration Date | 2018-05-15 | 
| Last Update Date | 2025-07-17 |