| NPI | 1124382502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYE-ANN QUARCOOPOME Owner/Administrator 973-280-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 0400500914) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2014-04-22 |