| NPI | 1376889006 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH A CLARKE Therapist 908-200-5683  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00320800)  | 
| Enumeration Date | 2012-12-28 | 
| Last Update Date | 2014-04-16 |