| NPI | 1669750501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA KLACHKIN Owner, Operator 973-454-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37Pc000424400) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 001104) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2011-07-26 |