| NPI | 1679600399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET C CLARK SORIANO D Irector 856-985-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00050000) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |