| NPI | 1154620631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE B. LILL Owner 732-240-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC04634800) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |