| NPI | 1083232409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH SCHRAG Member 609-432-6289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |