| NPI | 1154056695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE CASSIDY Clinical Operations Associate 856-287-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-09-16 |