| NPI | 1699287748 |
|---|---|
| Other Name | CENTRAL AVENUE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | AHUVA GRUEN Accountant 732-886-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |