| NPI | 1073001830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA D SANTOS Owner 908-425-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC05759600) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |