| 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 |