| NPI | 1982221479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA A. CROFOOT CEO 732-575-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |