| NPI | 1184012163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVORA DEITCHER Managing Member 732-921-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44sc04593600) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-01-05 |