| NPI | 1518332196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA CARVALHO Proprieter 732-778-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY P00309) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |