| NPI | 1972951382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M DURBIN Owner 856-261-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 37PC00405200) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |