| NPI | 1346694759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA CID Social Worker 732-900-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NJ 44SW05293100) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |