| NPI | 1063614634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILDA PYRONNEAU Mental Health Counselor 201-965-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 37PC00294700) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-08-14 |