| NPI | 1831350982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI KADIR MAHARAJH Program Director 732-404-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ NJ37PC00336800) |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2008-06-21 |