| NPI | 1043724081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BRUNER Owner 856-372-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00390300) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-03-23 |