| NPI | 1124909726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ANNA MEDINA Owner/Therapist 856-816-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |