| NPI | 1407302532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M CARR Clinical Director / CEO 908-858-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1096524) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |