| NPI | 1356685838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL VITALE Clinical Director 201-489-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 2000295-08) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |