| NPI | 1366961864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SCRAPE Director Of Finance & Controller 862-260-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 303030104) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-10-26 |