| NPI | 1588960942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN J. RECEVEUR Sole Provider/Owner 732-865-4182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC04741400) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2026-02-05 |