| NPI | 1699958504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE A WASHINGTON Clinician 609-396-4258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05275000) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |