| NPI | 1225572183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA KOSLOW Clinical Coordinator 732-668-1251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00364800) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |