| NPI | 1992114094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY E LAWSON Clinical Director1 732-216-6082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44sc05293300) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |