| NPI | 1124984828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ALI BRICE Executive Director 856-650-6556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2025-12-27 |
| Last Update Date | 2025-12-27 |