| NPI | 1225241995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MAGUIRE Director Of Operations 856-985-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ CE883152) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA CE883152) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |