| NPI | 1497297766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SIRACUSA Clinician 609-816-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05441000) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |