| NPI | 1457762080 |
|---|---|
| Doing Business As | ICWPC |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA K RAO Program Director 973-335-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2015-07-27 |