| NPI | 1326309428 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | KAMALATHARA SRIKANTH Clinical Director 609-721-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1-10-7089) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |