| NPI | 1992941561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANFRED KANU OBI Owner 973-951-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 0400263786) |
| Enumeration Date | 2009-01-01 |
| Last Update Date | 2010-11-10 |