| NPI | 1235762394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LA GUARINA CEO 856-669-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-11-15 |