| NPI | 1649482506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JONES Clinical Supervisor 609-396-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC00573700) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |