| NPI | 1043692510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PAUL COOK Executive Director 609-406-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2019-05-09 |