| NPI | 1639294879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY STORCH Director 908-355-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 204011310) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-01-11 |