| NPI | 1043902232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON SPROUL Owner 609-970-1549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |