| NPI | 1265889695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY PATRICIA LOZANO-RIVERA Owner 973-985-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05550200) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |