| NPI | 1831532910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHARKA ABU SANKARA Managing Member 732-272-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NJ 44SC05644200) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: NJ 44SC05644200) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NJ 37LC00174900) | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2016-05-18 |