| NPI | 1215521844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE PEIRSON Supervisor Of Medical Affairs 856-979-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |