| NPI | 1568760932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH ESTRELLA WELLS Owner 609-315-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 41ys00161700) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2018-07-10 |