| NPI | 1043757990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA HOLLANDER Manager 732-614-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ XXX) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-02-22 |