| NPI | 1710460381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY HOWARD Manager 732-844-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-06-05 |