| NPI | 1124255617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT HORCH President/Owner 267-987-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37Fl00163300) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |