| NPI | 1720428154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON LYNN DEVER Director 732-379-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 1662907) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2013-06-30 |