| NPI | 1164805842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE AN Authorized Official 973-670-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37pc00417300) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |