| NPI | 1629213350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE DILLON MOSIELLO Owner 973-699-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05320500) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |