| NPI | 1720389083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D DAVIS CEO 609-396-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1581742) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2011-03-31 |