| NPI | 1811413883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADINAH LYNN BROWN-DAY Executive Director 609-784-4682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05349200) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NJ 44SL05979800) |
| 251S00000X Community/Behavioral Health (Licence: NJ 44SL06293100) | |
| 251S00000X Community/Behavioral Health (Licence: NJ 44SL06288800) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |