| NPI | 1578840211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEVY NUSSBAUM Director 732-534-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 000) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2022-07-21 |