| NPI | 1710379136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LORRAINE BLEIMANN Licensed Clinical Alcohol Counselor 732-221-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-02-22 |
| Last Update Date | 2015-02-22 |