| NPI | 1205795176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE WALLACE President 856-465-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, | |
| 251300000X Local Education Agency (LEA) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261Q00000X Clinic/Center | |
| 225X00000X Occupational Therapist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-03-25 |