| NPI | 1942749429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIONIA HAGEMAN Office Manager 973-450-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 30202) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |