| NPI | 1770659047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL PHILLIPS Program Manager 201-395-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ SC00838900) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |