| NPI | 1053641050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SHWAHLA Member 609-510-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44sc05297400) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2019-03-08 |