| NPI | 1891377503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY TRELOAR Account Manager 201-385-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |