Organization
PERSON CENTERED SQUARED PC2
Active
Other names
PC2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK EDWARD HERSH (OWNER)
(732) 995-9784
Entity
Organization
Contact information
Practice address
220 FERNHEAD AVE, MONROE TWP, NJ 08831-8736
(732) 305-2587
Mailing address
220 FERNHEAD AVE, MONROE TWP, NJ 08831-8736
(732) 305-2587
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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