| NPI | 1588039259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIREILLE ST-LAURENT Owner 732-894-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05609800) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |