| NPI | 1487009452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN DAVIS-COTTLE CEO 1866-620-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05642500) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |