| NPI | 1164063129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN COOK Executive Director 609-406-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2023-01-18 |