| NPI | 1376703256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOBEIRA A GUILLEN President 201-287-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 0699121) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |