| NPI | 1598270795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHAUNE DAYDREA GAMBLE Social Worker 917-288-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SL05689700) |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2025-03-21 |