| NPI | 1134256712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C. PETKA Executive Director 856-661-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37FI00158500) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |