| NPI | 1972904928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DECOTIIS General Manager 732-221-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |