| NPI | 1801303573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE CRENSHAW Owner 732-723-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05757400) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2022-09-07 |