| NPI | 1629122601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN BAILEY President 732-918-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 10120-01-05) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-01-18 |