| NPI | 1215871686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JAMES CORNWALL Owner 856-434-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-04-16 |