| NPI | 1417605007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY COOPER Director Of Business Operations 732-290-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-29 |