| NPI | 1184866824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW MCNEILL JOHNSON Therapist 917-568-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05288400) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-04-20 |