| NPI | 1104505262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE SCOTT Clinical Director 856-846-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |