| NPI | 1972718278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA C YEALU Associate Director 908-722-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 41840) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-01-15 |