| NPI | 1336431675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE NELSON Executive Director 201-200-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 2000071) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00116800) |
| 101YM0800X Counselor, Mental Health (Licence: NJ 44sc05375200) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-05-21 |