| NPI | 1104377753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J DELLA PENNA Owner 973-224-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00552400) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |