| NPI | 1104061951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M KOSTERA Apn 609-652-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NJ 26NJ00102100) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |