| NPI | 1609240043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GREGORY Owner 908-235-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: 0904009226) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |