| NPI | 1942503925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GORMAN Owner 201-874-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00390700) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-16 |