| NPI | 1104430891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A MOORE CEO 856-630-1691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-10 |