| NPI | 1497537963 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | SETIAM J KABA CEO 908-900-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |