NPI | 1649775446 |
---|---|
Entity Type | Organization |
Authorized Contact | LEEANN WAGNER Director 732-290-9040 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1000053804) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2020-03-12 |