| NPI | 1912551946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE HALPERN Licensed Professional Counselor 732-740-6254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |