| NPI | 1245854272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN LYNN HODGES Owner 609-638-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |