| NPI | 1942507991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LYNN Director 908-455-1058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00330000) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2016-08-05 |