| NPI | 1184919961 |
|---|---|
| Doing Business As | MRS. WILSONS |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CUMMINGS Clinical Director 973-540-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 2000074-08) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |