| NPI | 1871949214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY JEAN-LOUIS Executive Director 732-354-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00463500) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2020-10-02 |