| NPI | 1669049607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA NICOLE FIELDS Practice Owner 732-239-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-08-17 |