NPI | 1053794065 |
---|---|
Entity Type | Organization |
Authorized Contact | BERTEE THOMAS Program Operations Executive Direct 609-668-4719 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2015-07-08 |
Last Update Date | 2022-05-15 |