| NPI | 1104238385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKIA SMITH Icm/Kid Intensive Case Manager 856-520-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |