NPI | 1386082907 |
---|---|
Entity Type | Organization |
Authorized Contact | DESI ISIDRO Clinical Supervisor 732-738-1323 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37AC00142600) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2013-06-05 |