| NPI | 1003327388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BRODERICK Chief Operating Officer 856-742-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |