| NPI | 1134589567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMILA MALIK Member, Manager 609-865-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05654100) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-03-02 |