| NPI | 1174304190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DESIMONE CEO/Owner 856-217-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-11-29 |