| NPI | 1093162406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CIRILLO Owner 973-207-9273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05203700) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |