| NPI | 1154788057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN FITTIPALDI Educational Director/Vice President 732-765-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 0100983768) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |