| NPI | 1760522338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MINGOIA President CEO 973-482-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 500190903) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NJ 500192103) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |