| NPI | 1174946461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L NORRIS Sole Proprietor 856-220-9685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NJ 44sc05219400) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |