NPI | 1932721149 |
---|---|
Former Legal Business Name | CB SUPPORTS OF NJ |
Entity Type | Organization |
Authorized Contact | ISRAEL BENEDEK Member 718-336-6073 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-05-11 |
Last Update Date | 2022-01-12 |