| NPI | 1508250218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA RODRIGUEZ President 973-997-6212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05454300) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |