NPI | 1043476088 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA BOWERS-PEPE Medical Director 609-482-3701 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
2084P0800X Psychiatry & Neurology, Psychiatry | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2008-07-30 |
Last Update Date | 2009-01-05 |