| NPI | 1205251360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KATHRYN WALPOLE Owner 201-707-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37pc00454500) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |