| NPI | 1023415635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LUTZ President 973-804-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 2000547) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |