| NPI | 1689081309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SETSUO ISHIBASHI Executive Director 551-574-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 0397318) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |