| NPI | 1811374796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QINDI SHI CFO 609-267-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |