| NPI | 1720629645 |
|---|---|
| Other Name | SA621 |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARTIN Advisor 973-703-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2022-03-03 |