NPI | 1114102464 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA J CLAUSS Nurse Practitioner, President, CEO 609-472-2846 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NH 453) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2008-01-07 |
Last Update Date | 2023-03-01 |