| NPI | 1386005627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA HART Owner 732-995-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC00658000) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |