| NPI | 1073084745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RICE Billing Supervisor 609-267-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2025-08-11 |