NPI | 1083152714 |
---|---|
Entity Type | Organization |
Authorized Contact | TINIKI WHITE Member 609-949-1597 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 0450135849) |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-02-01 |