| NPI | 1003211640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KEHOE Owner 856-905-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc04870000) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |