| NPI | 1174417497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE GLEZERMAN CEO 856-298-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2026-04-06 |