| NPI | 1841433158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY FOX GALLUPPI Owner 732-991-3809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC05279300) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2011-01-26 |