| NPI | 1700159910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME ROBINSON Executive Director 609-577-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00303500) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NJ 37LC00117900) |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2012-02-18 |