| NPI | 1720716244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN LEININGEN Apn 732-740-9432 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-10-17 |