| NPI | 1154624583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ALVAREZ Support Service Supervisor 973-639-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44sc05424900) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |