NPI | 1104283514 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON N TEAGUE Owner 908-956-3875 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC01288200) |
Enumeration Date | 2016-01-15 |
Last Update Date | 2016-01-15 |