| NPI | 1083759120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN PATRICIA MCGOVERN Director 856-546-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00048400) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-09-10 |