| NPI | 1164894788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WATSON Behavior Consultant 856-448-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 793647) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-11-03 |