| NPI | 1477000446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L O'NEILL Owner 973-978-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00374600) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |