| NPI | 1982910204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E HARRISON Sole Proprietor 609-741-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ MB05713400) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-26 |