| NPI | 1528584380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ COLOMBIA TORRES Owner 201-647-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37pc00451700) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2022-07-21 |