| NPI | 1609532837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LONNAY Owner 732-687-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2022-02-23 |