| NPI | 1063707206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN F SUMMERVILLE President 856-343-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SCO5364100) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |