NPI | 1720463870 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE GOODMAN Executive Director 732-918-0850 |
Organization Subpart ? | No |
Primary Taxonomy | 251C00000X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2015-07-29 |
Last Update Date | 2022-07-21 |