| NPI | 1215056544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYCRIS MEJIA CEO 888-333-2987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 0100331) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-10-20 |