| NPI | 1164951695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELI MATHIAS Executive Director 609-841-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05344100) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |