| NPI | 1902127848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY HARGROVE Administrator 973-372-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 12345-01-04) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |