| NPI | 1982139408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SMUKLAVSKIY Executive Director / CEO 732-679-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 101740304) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |