| NPI | 1104348911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA WISLON C WILSON President/ CEO 856-361-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 403010904) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |