| NPI | 1982164927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMON WATSON Executive Administrative Assistant 908-725-8544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |