| NPI | 1649625476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE STAMATO TALLARD Director 732-262-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |