| NPI | 1538204714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLIN SIMON Managing Member 973-868-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 0090182) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |