| NPI | 1427364488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGIS F ACOSTA Owner 856-885-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NJ 25MA0732300) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-09-23 |