| NPI | 1235548470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLOMON LONNER COO 732-961-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 100130105) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |