NPI | 1457488066 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY HARGROVE JR Owner 973-242-6599 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 100180105) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2008-06-17 |