| NPI | 1164956231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWAEN OSAMUYI OKAO Medical Director 609-798-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |