| NPI | 1962863605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADIAN PEYNADO Director 908-531-6905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00440300) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2023-04-27 |