| NPI | 1649580820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J RUBIN President 732-870-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 25MA03317200) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |