NPI | 1891577995 |
---|---|
Former Legal Business Name | N/A |
Entity Type | Organization |
Authorized Contact | SETIAM JOYCELINE KABA CEO 908-900-9995 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-10-16 |
Last Update Date | 2023-10-16 |