| NPI | 1730238569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA E GRIER Administrative Assistant 973-414-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 150030105) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |