| NPI | 1689435331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GOLD YITZCHOK Chief Executive Officer 732-684-0885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |