| NPI | 1902955644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY GERSHNER Billing Manager 848-208-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 10053-01-05) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2026-07-01 |