| NPI | 1659969582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLANCBAUM Owner 732-994-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |