NPI | 1427598101 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN O'DEA Clinical Director 917-667-4340 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05381000) |
Enumeration Date | 2017-03-01 |
Last Update Date | 2017-03-01 |