Organization
PERSON CENTERED SQUARED PC2
Active
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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