| NPI | 1255060802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE ILOKA Provider 609-532-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |