| NPI | 1043686066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKO ANTONELLOS Executive Director 609-500-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1118243) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |