| NPI | 1831527530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE HICKS CEO 732-914-1688 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NJ 44SL00612700) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |