| NPI | 1891407623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTE R ROBINSON Executive Director 848-986-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2023-04-18 |