| NPI | 1083043434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT J SANTORO CFO 856-845-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 90001-19-04) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |