| NPI | 1598196172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY H FERGUSON Counselor 609-394-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1770796575) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |