| NPI | 1104101427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA DIAZ Owner 201-420-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05219700) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |