| 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 |