| NPI | 1770836025 |
|---|---|
| Other Name | PARK PLACE |
| Entity Type | Organization |
| Authorized Contact | SUSAN M AFFA Social Worker/Intake COO Rdinator 732-869-2769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NJ 44SL05734800) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |