| NPI | 1952654972 |
|---|---|
| Other Name | PARK PLACE |
| Entity Type | Organization |
| Authorized Contact | PETER E DOUGHERTY Clinical Supervisor 732-869-2773 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 44SC05427900) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NJ 37LC00188000) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |