| NPI | 1134630478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE H ELLIS President 908-546-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37lc00225500) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |