| NPI | 1952759276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GLENN President 732-489-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SCo5517100) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |