| NPI | 1710340740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA J DAVIS Owner 973-441-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05638300) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |