| NPI | 1134586969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY LEE WEIKEL Owner 856-498-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 44SC05646200) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2022-01-11 |