| NPI | 1063279040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL STEPHON STEPHENS Chief Executive Officer 856-383-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |