| NPI | 1053807891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINEAN CRAWFORD CEO 856-904-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |