| NPI | 1073066528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE WERT Part Owner 732-616-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC04789400) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |