| NPI | 1982963260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LAMAR Executive Director 609-586-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 2000206) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |