| NPI | 1487189338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE A CIRIGLIANO Owner 732-309-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC04630300) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |