| NPI | 1144693276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY REICHERT Owner 856-297-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05599000) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2023-02-27 |