| NPI | 1659591915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BRUCE HICKOK Director 609-529-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00100200) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |