| NPI | 1922353572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WOLFE Executive Director 609-394-8988 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NJ 96503-01-04) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NJ 2000078-08) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2020-08-11 |